2 total
Application for medical benefits dismissed as the treatment plan was not supported by medical evidence.
The applicant was injured in a rear-end motor vehicle accident and sought a medical benefit of $3,581.53 for chiropractic, physiotherapy, and massage services.
The respondent denied the treatment plan on the basis that it was not reasonable and necessary, relying on an insurer's examination report.
The Tribunal dismissed the application, finding that the applicant's own medical expert report did not recommend the specific services claimed and contained inconsistent statements.
As the treatment plan was not reasonable and necessary, no interest was payable.
Applicant's pre-existing conditions and chronic pain diagnosis remove her injuries from the Minor Injury Guideline.
The applicant sought medical and rehabilitation benefits following a motor vehicle accident.
The insurer denied the claims, arguing the injuries fell within the Minor Injury Guideline (MIG).
The Tribunal found that the applicant's pre-existing conditions, including knee osteoarthritis and abdominal issues, as well as a post-accident chronic pain diagnosis, removed her from the MIG.
The Tribunal ordered the insurer to pay for multiple treatment plans and a chronic pain assessment, finding them reasonable and necessary, but denied the cost of a medical bracelet and the applicant's request for costs.
No co-appearing lawyers found.
No judges found.